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Your First Visit
Please know that we do not take your choice or your trust for granted. We are dedicated to bringing Emory's expansive world of medical knowledge to you and your family. By choosing an Emory Otolaryngology physician or audiologist, you have become a partner with us in pursuing the most appropriate, medically advanced treatment available to you today. Our mission is to offer you the highest-quality patient care compassionate, efficient and effective. Our partnership with you depends on it. Our history of high standards demands it.
Before your first appointment with one of our physicians, you may want to complete the medical history form below. We also request that you obtain medical records from your other health care providers and bring them with you if possible.
These steps will help us expedite your appointment and assure we have the appropriate information needed to provide the best advice possible during your initial consultation. Click here to download the form as a PDF (Adobe Acrobat). You may print the medical history form, fill in all the information and return it by mail to the office of the physician you have an appointment with. Or, you may bring it with you to your first appointment. We cannot accept the form electronically due to patient confidentiality.
Pre-Registration Form
Dept. of Otolaryngology - Head & Neck Surgery New Patient Questionnaire
You may print the medical history form, fill in all the information and return it by mail to the office of the physician you have an appointment with. Or, you may bring it with you to your first appointment. We cannot accept the form electronically due to patient confidentiality.
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